State Requirements

Applicants who are not U.S. citizens must provide proof of eligibility to work in the U.S. Please submit legible copies of documents establishing your work eligibility (e.g., Work Visa/Green Card) to the NIPR Attachments Warehouse Additional Documents.

Applicants must actively hold or be applying for Insurance Producer Life when applying for Insurance Producer Variable Life and Annuity.

Applicants applying for Variable Life and Annuity must enter FINRA CRD number as part of the application.

Applicants cannot apply for new lines of authority while holding a license that is in a renewal period. Please renew license before applying for new lines of authority.

All license classes must reapply the day after license expiration date.

Applicant must hold an active Broker license to be eligible for Surplus Lines Broker.

Applicants with a status reason of Revocation cannot reapply for 90 days from the date the license was revoked. 

Applicants with a status reason of Withdrawn must reapply as a new applicant regardless of expiration date.

• RESIDENT INDIVIDUAL INSURANCE PRODUCER: 
  • Form I-9 Tax Clearance - https://www.govguamdocs.com/revtax/docs/TAXCLEARANCEAPPLICATIONFORM.pdf 
• RESIDENT ADJUSTER: 
  • Form I-9 Tax Clearance - https://www.govguamdocs.com/revtax/docs/TAXCLEARANCEAPPLICATIONFORM.pdf 
• RESIDENT INDIVIDUAL BROKER: 
  • Police Clearance from Guam Police Department. 
  • Form I-9 Tax Clearance - https://www.govguamdocs.com/revtax/docs/TAXCLEARANCEAPPLICATIONFORM.pdf 
  • Audited Financial Statement (unaudited financial statements must be signed by Accountant). 
  • Proof of Errors and Omission Coverage (for Life only). 
  • Bonafide place of business (If building owned, letterhead with address will suffice. If renting, current lease agreement is required). 
  • Proof of Trust Account – copy of bank trust account statement. 
  • Premium Fund Trust Account Report (PFTA) – must be notarized.  https://www.govguamdocs.com/revtax/docs/PremiumTrustFundAccountAffidavit.pdf 
• RESIDENT INDIVIDUAL SURPLUS LINE BROKER: 
  • Police Clearance from Guam Police Department. 
  • Form I-9 Tax Clearance - https://www.govguamdocs.com/revtax/docs/TAXCLEARANCEAPPLICATIONFORM.pdf 
  • Bonafide place of business (If building owned, letterhead with address will suffice.  If renting, current lease agreement is required). 
  • Surety Bond of $2,000 per additional DRLP. 
  • Proof of Trust Account if acting as DRLP or Reconciliation of Premium Trust Fund Account (PFTA) if applying as independent broker. 
  • Copy of audited financial statement of the company if acting as DRLP or Statement of Assets and Liabilities if applying as independent surplus lines broker.

Please submit supporting documents electronically via NIPR's Attachments Warehouse.

Adjuster license cannot actively be held simultaneously with an Insurance Producer, Broker, General Agent or Surplus Lines Broker license.

Insurance Producers must be appointed within 15 days of license approval.  The Insurance Producer license must show active status on the Producer Database BEFORE an appointment may be submitted. If an appointment is not submitted within 15 days of license approval, the license will be inactivated. 

An affiliation is not required, and the applicant may proceed past the "Affiliations" page on the uniform application.

Application information will be reviewed and processed by Guam Department of Revenue and Taxation. Most applications will be processed within 7-10 business days. You may check the status of your application here: https://nipr.com/licensing-center. If your application is approved you may visit the following link to print your license: https://nipr.com/help/print-your-license. If applicant responds "yes" to one of the background questions please submit supporting documents electronically via NIPR's Attachments Warehouse.